Connecting & Setting Up YourPure Fibre BroadbandFill out the form below and our team will help you get online in no time. First Name (required) Last Name (required) Address - Including Plot Number (required) Postcode (required) Mobile Number (required) Your Email (required) Confirm Email Address (required) Proposed Move In Date (required) Select Your Package, please note this does not include the £99.00 connection fee charge (if applicable) (required) 50mbps (100gb p/m) - £29.99 p/m100mbps (Unlimited) - £37.50 p/m Would you like a VoIP Landline added to your monthly cost? Please note you may also need to purchase an ATA at an additional cost to yourself (required) Yes- £10.00 p/mNo Please tick this box to confirm that you have read and agree with the Terms & Conditions for Pure Fibre Broadband available at https://purefibrebroadband.co.uk/residential-terms-conditions/ (required) Yes Please tick this box to confirm that you will follow the payment sign-up link sent through to your registered email address and you understand that your order can't progress until this is completed - if applicable (required) Yes Will a business be registered at this address? - (required) YesNo Please tick this box to confirm that you allow us to pass on your details to the infrastructure provider for use in the government backed Gigabit Rural Voucher Scheme (if applicable). Please note your details will not be used for marketing purposes nor will you be contacted unnecessarily (required) Yes Please tick this box to confirm that you enter into a 12 month contract (unless stipulated in writing) with Pure Fibre Broadband LTD on the date of issuing the first service charge (required) Yes